Organization
WALL ST. DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E. RENFROE DMD (DR.)
(256) 878-0525
Entity
Organization
Contact information
Practice address
65 WALL ST, ALBERTVILLE, AL 35951-7392
(256) 878-0525
(256) 878-0521
Mailing address
65 WALL ST, ALBERTVILLE, AL 35951-7392
(256) 878-0525
(256) 878-0521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
12/08/2009
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